HomeMy WebLinkAbout320873 01/17/18 CITY OF CARMEL, INDIANA VENDOR: 365288
d ONE CIVIC SQUARE KURTIS BAUMGARTNER CHECK AMOUNT: S********50.00*
?Q CARMEL, INDIANA 46032 16930 KINGSBRIDGE BLVD CHECK NUMBER: 320873
v WESTFIELD IN 46074 CHECK DATE: 01/17/18
>� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMB 50.00 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 365288 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Baumgartner, Kurtis Payee
16930 Kingsbridge Blvd
Westfield, IN 46074 In Sum of$ Purchase Order#
365288 Baumgartner, Kurtis Terms
$ 50.00 16930 Kingsbridge Blvd Date Due
Westfield, IN 46074
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or Invoice Description
Dept# INVOICE NO. ACCT#(TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1091 Reimb 4344100 $ 50.00 Board Members 1/5/18 Reimb Cell Phone Reimbursement Dec'17 $ 50.00
1 hereby certify that the attached invoice(s),or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
$ 50.00 Total $ 50.00
January 9,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
arme] 0 Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
December Cell
12/24/2017 AT&T 1091 4344100 Cellular Fees $ 50.00 Reimbursement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $50.00
Employee Name(print) Kurtis Baumgartner
Check Address 16930 Kingsbridge Blvd.
payable to: City, St, Zip Westfield, IN 46074
Signature: Approved by:
_//
Date: 1/5/2018 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request JAN 0 O 2018
BY: